ADMHS Director`s Report

ADMHS Director’s Report
Prepared for the Mental Health Commission, March 20, 2015 BUDGET UPDATE ADMHS appeared before Board of Supervisors on 3/10/15 to request
an increase the Aurora Vista Del Mar contract due to an greater
demand in the acute crisis system. This increase was funded by a
general fund contingency transfer.
Project Summary: 
Next Steps: 
An internal ADMHS workgroup is reviewing the current Institutions
of Mental Disease (IMD) contracts and current options for longterm care placements. The team plans to increase locations
available for placement as demands increase locally and statewide
and competition grows among counties for these beds. A larger
team with system partners is also meeting for collaborative
problem-solving. A budget revision will be submitted to increase IMD contract
amounts, as the estimate for year end is 2.8M versus the budget of
1.2M; a variance of 1.6M. Regional Partnerships Project Summary: Achievements: Next Steps: Regional Partnership meetings are being held to identify behavioral health service gaps and to devise local, collaborative solutions to better serve clients. Initial Regional Partnership Meetings were held in Lompoc and Santa Maria. ADMHS and community‐based organization (CBO) staff and change agents attended. Zia Partners helped facilitate these meetings as part of its system transformation consultation activities. A Santa Barbara Adult and Children’s Regional Partnership meetings will be convened in early April. Access and Transitions Workgroup
Project Summary: The Systems Transformation Access & Transitions Workgroup has been meeting bi‐weekly since mid‐February. Membership includes frontline clinical staff, peer staff, psychiatry, adult and children’s team supervisors, regional management, ADP management, administrative staff and executive/leadership. 1 | P a g e The purpose of the workgroup is to evaluate, improve and implement needed changes for how clinical teams are structured and function, how clients access services and move through the system between levels of care and how ADMHS and partner programs work collaboratively to support clients in their recovery. In the first meetings, attention was focused on identifying a philosophy of shared responsibility for client care and defining how we work together within teams and among ADMHS teams and community partners. Next Steps:  Continue defining strategies for strengthening the team‐based approach to client care within the ADMHS outpatient clinics and how to implement peer‐operated system engagement and navigation services for clients.  Gather strategies from within the system that are working well and determine applicability to other regions.  Evaluate how the higher level of care outpatient programs might be re‐organized to better serve clients.  Initiate steps for moving toward a regional partnership model in our work with partner agencies with regional orientation meetings and client population‐specific case planning meetings among teams.  Implement immediate, short‐term and long‐term practices to produce systems transformation. Trauma‐Informed System of Care (TISC)
Katie A requires county staff across California to be trained on developing a trauma‐informed system of care for the children and families we serve. ADMHS partnered with Child Welfare Services to implement this. In April 2014 Lisa Conn and Elisa Gottheil were trained as trainers for the Trauma Informed System of Care (TISC) model, a training sponsored by the Chadwick Center for Families and Children, part of the Katie A. mandate. Upon returning from that training, Ms. Conn and Dr. Gottheil trained 24 clinicians from the three County Children's Clinics, Juvenile Justice Mental Health Services, and our partner community‐based organizations (CBOs) in the Children System of Care: Family Services Agency, Casa Pacifica, Santa Maria Valley Youth and Family Center, Community Action Commission, Family Care Network Inc. and CALM. The goal was to designate 24 trainers to support the county clinics and CBOs in training their staff on the TISC model. All of the CBOs and county clinics have completed their trainings, Project Summary: 2 | P a g e with a final Trauma Informed System of Care Training having taken place on March 10th and 11th. We are now entering the final phase of our efforts by inviting the Next Steps: community at large to be part of the Trauma‐Informed System of Care Symposia that will occur on April 8th in Lompoc, April 23rd in Santa Maria, and May 6th in Santa Barbara. Mental Health Awareness Month (May)
Mental Health Awareness Month was established in 1949. Each year ADMHS submits a resolution to the Board of Supervisors. We will do this again this May, but also initiate several additional activities. We plan on sponsoring four activities in May: Next Steps: 1. Present a Mental Health Awareness Month resolution before the Board of Supervisors. 2. Hold free community wellness and substance abuse screenings and provide behavioral health literature tables in Santa Maria, Lompoc and Santa Barbara. 3. Honor longtime behavioral health advocate, Commissioner Manny Casas, with a resolution before the Board of Supervisors. 4. Hold a press briefing featuring homeless outreach staff. Project Summary: OSHPD Grant: Networks to Support Public Mental Health System Workforce with Lived Experience ADMHS has been awarded the full $150,000 grant amount from the California Office of Statewide Health Planning and Development (OSHPD) for a grant to strengthen consumers, family members and caregivers working in the public behavioral health system in Santa Barbara County. The proposal sought funds to present a series of core trainings, to provide customized training support and to conduct outreach to under‐served communities. ADMHS thanks the many consumers, family members, caregivers and community‐based organizations (CBOs) that supported this proposal. Next Steps:  ADMHS staff will devise a timeline for implementation.  Consumer/family staff, caregivers and stakeholders will receive detailed information about participation opportunities. Project Summary: 3 | P a g e ADMHS Saanta Barbara C
County of Alccohol, Drug and Menttal Health Serrvices (805) 681‐5220 Alice Glegh
horn, Ph.D., D
Director 4 | P
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